Ejection Report

This report is to be completed and submitted within 24 hours of an ejection of any coach or player.  This includes any pre-season, exhibition, regular season or tournament play.  It is the responsibility of the Head Coach to submit the report.

Name of Person Submitting Report *

First

Last

Email *

Phone *

Role of Person Submitting Report *Select OneHead CoachAssistant CoachUmpireOther

If other is selected above, please specify

Date / Time *

Date

Time

Location of Incident (including diamond) *

Division in which ejection occurred *Select One9U11U13U15U18U

Home Team *

Visiting Team *

Inning (with score) *

Name(s) of Person Ejected *

Roll of the Person Ejected *Select OneHead CoachAssistant CoachPlayer

Uniform Number

Description of the Incident *

Additional Comments

Level of Ejection *Select OneLevel 1Level 2

Submit